NPI | 1750021846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2367021) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2367021) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2024-02-15 |