| NPI | 1366845000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3017477) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 19982) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: TN 19982) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IN 28217190A) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TN 19982) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2024-07-26 |