| NPI | 1982872230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN00338) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 114831) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2016-01-04 |