NPI | 1548592751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002989A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002989A) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28117225A) | |
Enumeration Date | 2010-02-12 |
Last Update Date | 2021-03-29 |