NPI | 1609673938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016782A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037936) |
Enumeration Date | 2025-02-25 |
Last Update Date | 2025-07-03 |