| NPI | 1114914462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003405A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: PA TP00516OV) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71003405A) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2022-06-06 |