NPI | 1538817952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012390A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28221826A) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2023-12-18 |