NPI | 1508007147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002862) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28099990A) |
207Q00000X Family Medicine (Licence: IN 71002862A) | |
Enumeration Date | 2009-03-11 |
Last Update Date | 2022-07-12 |