| NPI | 1649611237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2265565) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN02819) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 277001488) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95015903) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F162488) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1017182) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-09-06 |