| NPI | 1417110503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71000579B) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 71000579A) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2020-10-29 |