| NPI | 1780828566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA 177176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN177176) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2025-08-13 |