| NPI | 1689003386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 104797) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2278306) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2022-07-21 |