| NPI | 1508552977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN03723) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2384465) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2026-04-29 |