NPI | 1962494062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71003612A) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IN 71003612A) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2021-03-15 |