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 |