NPI | 1508355173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008139A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184772A) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2022-12-05 |