| NPI | 1760981807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2314863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2314863) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-11-25 |