NPI | 1497320576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011360A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28186196A) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2023-05-17 |