| NPI | 1780936344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 710008458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.369779) |
| 163W00000X Registered Nurse (Licence: IN 28247136A) | |
| 363L00000X Nurse Practitioner (Licence: IN 710008458A) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209.009790) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2019-01-15 |