NPI | 1376109736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009191A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28200199A) |
Enumeration Date | 2019-05-11 |
Last Update Date | 2024-05-08 |