NPI | 1376030304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008107A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28130774A) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2022-10-11 |