NPI | 1376993543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006298A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71006298) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2024-02-08 |