NPI | 1518424464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009450A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28205195A) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2024-04-30 |