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 |