NPI | 1063834737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28152275A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004813A) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2023-10-05 |