| NPI | 1376760298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 71001871A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71001871A) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-08-27 |