| NPI | 1144696642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2284034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284034) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-06-02 |