NPI | 1285135673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007860A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007860A) |
163WG0000X Registered Nurse, General Practice (Licence: IN 28200534A) | |
Enumeration Date | 2018-02-22 |
Last Update Date | 2025-09-17 |