| NPI | 1558076760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA AG07250026) |
| Additional Taxonomies | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: MA RN2361960) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-07-15 |