| NPI | 1477595197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 71003162A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28052995) |
| 363L00000X Nurse Practitioner (Licence: IN 71003162A) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-05-24 |