| NPI | 1689049421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71006828A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209013490) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2022-05-25 |