NPI | 1124493820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1055040) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005961A) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2020-01-07 |