NPI | 1164030144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010206A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28261221A) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704246580NSA200EI) | |
Enumeration Date | 2020-07-16 |
Last Update Date | 2022-10-27 |