| NPI | 1235895335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.024513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.519071) |
| 163W00000X Registered Nurse (Licence: CT 164197) | |
| 163W00000X Registered Nurse (Licence: ME RN78031) | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-01-06 |