| NPI | 1275584187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MA 196898) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: RI NPP29705) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |