NPI | 1548763576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007844A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71007844A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71007844A) | |
Enumeration Date | 2018-03-15 |
Last Update Date | 2019-10-01 |