| NPI | 1497647267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2354254) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2354254) |
| 363L00000X Nurse Practitioner (Licence: MA RN2354254) | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2026-06-02 |