NPI | 1083208524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN328554) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011172A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 28238646A) | |
Enumeration Date | 2021-02-25 |
Last Update Date | 2024-07-01 |