NPI | 1649795766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007561A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28218849A) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-06-07 |