| NPI | 1295569762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2362742) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA RN2362742) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-10-17 |