NPI | 1184379703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28152855A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012135A) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2022-04-18 |