NPI | 1558014696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012242A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28205531A) |
Enumeration Date | 2022-01-29 |
Last Update Date | 2023-08-30 |