| NPI | 1487796652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71001087A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001087A) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-02-04 |