| NPI | 1558783019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004787A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP5153) |
| 363L00000X Nurse Practitioner (Licence: IL 209.414081) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209010936) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2021-10-01 |