| NPI | 1952652844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 18560) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 18560) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28204840A) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2021-11-16 |