NPI | 1598474959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2332542) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 072461-23) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2025-03-12 |