| NPI | 1467974873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN02215) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0130398) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-08-05 |