NPI | 1639684178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704253566) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015369A) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2024-07-03 |