NPI | 1124423165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005186A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005186A) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2024-04-10 |