| NPI | 1699345306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2269978) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MA RN2269978) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2022-05-27 |