NPI | 1497419105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011910A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022961) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2023-02-20 |