| NPI | 1124519079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN261198) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: MA RN4634) |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: MA RN43664) | |
| 363L00000X Nurse Practitioner (Licence: MA NP43664) | |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2021-03-29 |