| NPI | 1841614104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 2284166) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MA RN2284166) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2020-06-30 |