| NPI | 1740515477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN244357) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN244357) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN244357) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN244357) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2023-10-06 |