| NPI | 1457688756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA RN280571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN280571) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2023-03-03 |