| NPI | 1023454972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004103A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28072771A) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |