NPI | 1538672332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN2288919) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA RN2288919) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA 95008365) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95008365) | |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-07-20 |