| NPI | 1487794202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 204632) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 000382) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 000382) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-01-13 |