| NPI | 1497041453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: RI CNPP37629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37629) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2013-09-24 |