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 |