| NPI | 1346874039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015012) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN02435) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-07-28 |