| NPI | 1881248227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2265855) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 65558) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-10-07 |