NPI | 1528016912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28100371A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000924A) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15241800) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2025-02-05 |