NPI | 1366492670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71000955A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000955A) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2014-12-19 |