NPI | 1326635392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203918A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34012) |
Enumeration Date | 2020-12-24 |
Last Update Date | 2025-01-02 |