| NPI | 1770214785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN282476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN282476) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-07-10 |