| NPI | 1477924694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN2337172) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VT 107.0109141) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2020-08-04 |