NPI | 1730858911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2337728) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337728) |
Enumeration Date | 2021-09-10 |
Last Update Date | 2022-10-22 |