NPI | 1043758345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007133A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28150479A) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2023-11-17 |