NPI | 1457069924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71012357A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71012357A) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012357A) | |
Enumeration Date | 2022-11-14 |
Last Update Date | 2022-11-14 |