NPI | 1538381231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 190669) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 190669) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2015-10-14 |