| NPI | 1801354501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2260677) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2260677) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2023-09-26 |