NPI | 1083251714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009671) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28214372A) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2021-02-19 |