NPI | 1073004735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008118A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28186557A) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2023-02-23 |