| NPI | 1255694204 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421081)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704378411)  | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN03599)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 089214-23)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP221458)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 12199)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 114703)  | |
| Enumeration Date | 2012-06-23 | 
| Last Update Date | 2024-05-16 |