| NPI | 1689934895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004062A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28168862A) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2015-04-08 |