| NPI | 1275205072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC007492) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71011548A) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP032087) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-06-03 |