| NPI | 1003696550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2361528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2361528) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-12-04 |