NPI | 1417601832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012196A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28241090A) |
Enumeration Date | 2022-02-04 |
Last Update Date | 2022-05-05 |