NPI | 1447568290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007879A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28130667A) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006861) | |
Enumeration Date | 2010-09-15 |
Last Update Date | 2020-03-27 |