| NPI | 1821240177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA 274888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 274888) |
| 363L00000X Nurse Practitioner (Licence: MA RN274888) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2020-06-10 |