| NPI | 1144439506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002368A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71002368A) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-08 |