NPI | 1356325484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001395A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28113588A) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2011-07-25 |