| NPI | 1578087920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NH 074022-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 074022-21) |
| 163W00000X Registered Nurse (Licence: MA RN2302888) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: MA 20172239) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-03-17 |