| NPI | 1457051625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71017394A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 0033230) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2026-02-03 |