NPI | 1558753152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010035A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28150677A) |
Enumeration Date | 2015-02-19 |
Last Update Date | 2022-04-04 |