NPI | 1629361357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003653A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28155675A) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2023-05-03 |