| NPI | 1902476690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 142620) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2313486) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |