| NPI | 1548858582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN211530) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 077034-23) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-11-08 |