| 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 |