NPI | 1093232654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007394A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28163944A) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2023-01-03 |