| NPI | 1114277498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2274508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2274508) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-01-07 |