| NPI | 1558840942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2318535) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MA RN2318535) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN2318535) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-04-26 |