| NPI | 1528721537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2347382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1042415) |
| 163W00000X Registered Nurse (Licence: MA RN2347382) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1042415) | |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2024-11-06 |