NPI | 1568897452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004616A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004616A) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2019-05-16 |