| NPI | 1073878765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004092A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28161564A) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2014-01-22 |