NPI | 1023619947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014934A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196395A) |
Enumeration Date | 2020-11-06 |
Last Update Date | 2024-02-15 |