| NPI | 1336412345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71003879A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28072176A) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-01-13 |