| NPI | 1548885635 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN03935)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.021586)  | 
| 163W00000X Registered Nurse (Licence: MA RN2335156)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28263361A)  | |
| Enumeration Date | 2020-06-15 | 
| Last Update Date | 2025-06-17 |