| NPI | 1720098668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 159042) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MA 159042) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-12-15 |