NPI | 1457126005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014662A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71014662A) |
208000000X Pediatrics (Licence: IN 71014662A) | |
Enumeration Date | 2023-11-22 |
Last Update Date | 2024-10-14 |