| NPI | 1760525646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN127336) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN127336) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-03-08 |