NPI | 1043988975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011525A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71011525A) |
Enumeration Date | 2021-09-03 |
Last Update Date | 2023-11-06 |