| NPI | 1548885635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.021586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2335156) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN03935) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28263361A) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-02-26 |