| NPI | 1578865812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71003454A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184079A) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2020-12-03 |