| NPI | 1205653888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2344213) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2344213) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-10 |