| NPI | 1790200749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NH 07639823) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: VT 101.0134359) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-12-11 |