| NPI | 1861919813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2261176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2261176) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |