NPI | 1073021556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008072A) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: IN 28195315A) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2024-01-18 |