| NPI | 1841225109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP181069) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 166814) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-06-21 |