| NPI | 1275960585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 300500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28202905A) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004712A) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-01-17 |