NPI | 1578875571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN280493) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 063179-23) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2021-07-23 |