| NPI | 1730104837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001790) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9338893) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 2258P) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9338893) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-10-21 |