| NPI | 1053672667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN264408) |
| Additional Taxonomies | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: MA RN264408) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |