| NPI | 1891318341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2313689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2313689) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-01-03 |