NPI | 1598388407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010262A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN241581) |
Enumeration Date | 2020-05-26 |
Last Update Date | 2025-10-13 |