NPI | 1457078214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013211A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018517) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71013211A) | |
Enumeration Date | 2022-10-24 |
Last Update Date | 2023-03-01 |