| NPI | 1710393640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2297449) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 673761) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR17027600) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2297449) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2297449) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2015-09-16 |