| NPI | 1336236835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71002302A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3008102) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704347134) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-11-27 |