| NPI | 1902340276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2303030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005486) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2021-06-08 |