| NPI | 1699284869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2310396) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN01904) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2024-07-19 |