NPI | 1306597307 |
---|---|
Former Name | SUJITRA PURITAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019664) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95019664) |
Enumeration Date | 2022-01-12 |
Last Update Date | 2024-10-28 |