NPI | 1609015346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28080833A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28080833A) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2022-10-20 |