NPI | 1215234752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71003550A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28075275A) |
Enumeration Date | 2011-02-18 |
Last Update Date | 2022-07-18 |