| NPI | 1982245197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2363507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 23274) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2024-04-03 |