| NPI | 1407572522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MA RN2292866) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2292866) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-03-13 |