| NPI | 1710618806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2329916) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: NY 735115) |
| 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: MA RN2329916) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-11-02 |