| NPI | 1659481117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN271341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 379) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-17 |