| NPI | 1598027450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP151069) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CO RN.1623292) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2021-05-21 |