NPI | 1427520725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008783A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28173824A) |
Enumeration Date | 2018-12-27 |
Last Update Date | 2019-02-20 |