| NPI | 1528621836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2291240) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA 2291240) |
| 363L00000X Nurse Practitioner (Licence: MA 2291240) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-01-11 |