| NPI | 1568068559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MA RN2289632) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MA RN2289632) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |