| NPI | 1770822678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2261558) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN00793) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2017-03-07 |