| NPI | 1912787466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN2361598) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MA RN2361598) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-11-29 |