| NPI | 1699101188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN254292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN254292) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2026-02-25 |