NPI | 1508389982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28205650A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28205650A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71007489A) | |
Enumeration Date | 2017-07-18 |
Last Update Date | 2023-10-02 |