NPI | 1306411855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011265A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203332A) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2024-04-22 |