NPI | 1184255408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010494A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28216712A) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2024-09-06 |