| NPI | 1861467086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN147908) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN147908) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN147908) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-03-26 |