NPI | 1487210985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009157A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28178487A) |
Enumeration Date | 2019-05-10 |
Last Update Date | 2023-02-27 |