| NPI | 1265116412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN03629) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN10024461) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-06-04 |