| NPI | 1770345043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 71015619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28228414A) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-09-30 |