| NPI | 1003114794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2262040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2262040) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2020-10-22 |