| NPI | 1710309588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004782) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28211746A) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2025-01-15 |