NPI | 1376847715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003547A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28168637A) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2023-05-19 |