| NPI | 1952949729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: ME CNP241619) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2286242) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2025-01-23 |