| NPI | 1013707843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2390325) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2390325) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2026-06-09 |