| NPI | 1245848100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN2306732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306732) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2306732) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2021-07-15 |