| NPI | 1699439885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 10243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 186469) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: RI RN70822) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MA RN2337934) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: ME RN78857) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN02912) | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-05-03 |