| NPI | 1720461999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2304054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682941) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-12-02 |