| NPI | 1750759502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2292010) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2292010) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2292010) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |