| NPI | 1144266354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN237673) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 237673) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA 237673) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN237673) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-01-24 |