| NPI | 1093494320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2336510) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2336510) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2336510) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN2336510) | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2025-07-29 |