NPI | 1457303950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000252) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000252A) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2019-05-21 |