| NPI | 1790485498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2341068) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA APRN10003268) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2026-02-25 |