| NPI | 1720750227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 32332) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 151812) |
| Enumeration Date | 2021-10-02 |
| Last Update Date | 2022-11-02 |