| NPI | 1134447188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN170621) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: MA 170621) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-12-05 |