| NPI | 1194958074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2009005692) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA BRU104345310) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2017-05-08 |