NPI | 1174984413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014530A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704230262) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71014530A) | |
Enumeration Date | 2016-03-15 |
Last Update Date | 2025-01-20 |