NPI | 1134527807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005320A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28188953A) |
Enumeration Date | 2014-12-12 |
Last Update Date | 2023-04-20 |