| NPI | 1801198080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2258906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2258906) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2016-11-21 |