| NPI | 1700260593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2270228) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 8227917) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382630) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01416) | |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2024-02-09 |