| NPI | 1528310257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2302522) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024170287) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-12-16 |