NPI | 1427617810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009049A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28202210A) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2023-10-16 |