NPI | 1417449240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008155A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28207266A) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2024-07-09 |