| 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 |