| NPI | 1801344346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2284859) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 070924-23) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-04-10 |