NPI | 1487033882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005559A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28152144A) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2016-09-23 |