| NPI | 1518678515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71013385A) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28253118A) | 
| Enumeration Date | 2022-12-09 | 
| Last Update Date | 2023-01-24 |