| NPI | 1215378815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN273979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN273979) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2014-11-18 |