| NPI | 1679143614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2330467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2330467) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-11-01 |