| NPI | 1376393181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN2334358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2334358) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-09-19 |