NPI | 1225461585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004615A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164906A) |
Enumeration Date | 2013-08-09 |
Last Update Date | 2022-01-04 |