NPI | 1144872763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009342A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2019039563) |
363LF0000X Nurse Practitioner, Family (Licence: IA 2019039563) | |
Enumeration Date | 2019-07-13 |
Last Update Date | 2020-04-02 |