| NPI | 1578654679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IN 28127488A) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IN 71001596A) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-04-25 |