NPI | 1073125407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010347A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28205319A) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2023-02-15 |