NPI | 1285098400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006153A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28137639A) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2022-10-08 |