NPI | 1306592415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012253A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28207860A) |
Enumeration Date | 2022-02-28 |
Last Update Date | 2022-04-12 |