| NPI | 1578128518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 077144-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2318589) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2020-02-06 |