NPI | 1033879168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012244A) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28201775A) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2022-02-21 |