| NPI | 1942363825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN234026) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN 234026-NP) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN 234026-NP) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-11-02 |