| NPI | 1235370016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN192310) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: RI NPP37477) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2010-07-27 |