| NPI | 1548967102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2328541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2328541) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2328541) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2328541) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-06-16 |