| NPI | 1821043407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: VT 1010025563) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ01320900) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-07-26 |