| NPI | 1033442421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MI 4704325286) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IN 71003018A) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71003018A) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2024-03-28 |