| NPI | 1598904336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN274528) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN274528) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN274528) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2026-07-20 |