NPI | 1003659079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015652A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28233872A) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-09-11 |