| NPI | 1619103876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2278870) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA 2278870) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2017-12-08 |