| NPI | 1861149197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2293628) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: MA 2293628) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-10-24 |