| NPI | 1538519673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN284690) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN02412) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95004468) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: RI APRN02413) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2021-04-27 |