NPI | 1093491227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029619) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F06230720) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2024-10-31 |