| 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 |