NPI | 1063031367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010053A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28179335a) |
Enumeration Date | 2020-04-16 |
Last Update Date | 2022-05-17 |