NPI | 1336641646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009540A) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28191368A) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2020-04-13 |