NPI | 1063819993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005423A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28098686A) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005423A) | |
Enumeration Date | 2014-11-20 |
Last Update Date | 2021-05-07 |