| NPI | 1821510850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 240888-NP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA 240888) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |