| NPI | 1851442404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 262184) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 262184) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-10-31 |