| NPI | 1194393728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 112093-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 10004904) |
| 163W00000X Registered Nurse (Licence: MA RN2351078) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-11-08 |