| NPI | 1699284869 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2310396)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN01904)  | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2310396)  | |
| Enumeration Date | 2017-09-20 | 
| Last Update Date | 2024-12-27 |