NPI | 1124734454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013772A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28241113A) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2024-12-04 |