NPI | 1558940692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN F03210441) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011645A) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2025-06-27 |