| NPI | 1679752208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NH 042924-23-02) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN178290) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2024-01-24 |