NPI | 1093315608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011049A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011049A) |
163W00000X Registered Nurse (Licence: IN 28211975A) | |
Enumeration Date | 2020-11-01 |
Last Update Date | 2022-06-10 |