| NPI | 1902223308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2288565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2288565) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-09-28 |