| NPI | 1861194581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 2306345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306345) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-03-04 |