| NPI | 1942900360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2301774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2301774) |
| 163W00000X Registered Nurse (Licence: NH 083501-21) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-10-21 |