NPI | 1215984299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001799A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001799A) |
363L00000X Nurse Practitioner (Licence: KY 3004528) | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2023-03-21 |