NPI | 1003614538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016437A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28157665A) |
Enumeration Date | 2025-03-03 |
Last Update Date | 2025-05-29 |