NPI | 1841981727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2315936) |
Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: MA L-308836) |
Enumeration Date | 2023-05-19 |
Last Update Date | 2024-04-18 |