| NPI | 1811046428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN252660) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA 252660) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-01-16 |