NPI | 1528476736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005048A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005048A) |
363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71005048A) | |
Enumeration Date | 2014-07-31 |
Last Update Date | 2022-10-12 |