NPI | 1477078798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN F11170111) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 257203) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2023-08-18 |