| NPI | 1205610904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN10034018) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 12244) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R268346) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP500013654) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-08-04 |