| NPI | 1275322992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 093019-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2390073) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-11-18 |