NPI | 1184086795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006155A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28202334A) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2024-09-09 |