| NPI | 1659625382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN270224) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN270224) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2023-04-19 |