| NPI | 1669692661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 235651-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 235651-NP) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-03-24 |