NPI | 1639461817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28167458A) |
Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IN 28167458A) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2021-08-26 |