| NPI | 1851350482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN200718) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN200718) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-06-20 |