NPI | 1659981827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2334855) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R244036) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2023-08-16 |