NPI | 1245861426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009735A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28114043A) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2021-06-17 |