| NPI | 1982837019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP141030) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI NPP37524) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN 280018) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2020-03-06 |