NPI | 1730888009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2333066) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2333066) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2024-09-01 |