NPI | 1356710651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005897A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197144A) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2022-07-06 |