| NPI | 1700776531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2339207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2339207) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-09-22 |