NPI | 1598794935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2366) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002847A) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2009-11-02 |