| NPI | 1871979302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN234155) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 234155) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-09-18 |