NPI | 1295494326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28216649A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28216649A) |
Enumeration Date | 2021-12-16 |
Last Update Date | 2024-10-29 |