| NPI | 1366106643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2325958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2325958) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2325958) | |
| Enumeration Date | 2021-10-24 |
| Last Update Date | 2023-08-01 |