| NPI | 1215324587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71005499A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005499A) |
| 163W00000X Registered Nurse (Licence: IN 28191027A) | |
| 363L00000X Nurse Practitioner (Licence: IN 71005499A) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-09-27 |