NPI | 1629783170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2299920) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2299920) |
Enumeration Date | 2023-01-19 |
Last Update Date | 2023-01-19 |