| NPI | 1457670218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F4211981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6963241) |
| 163W00000X Registered Nurse (Licence: MA 277655) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA CAS104385817) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2022-08-08 |