| NPI | 1275815375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2268150) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 004724) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2026-05-11 |