| NPI | 1306398409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28185781A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 7658) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2323729) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-09-21 |