NPI | 1679158216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014854A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-174104) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014026) | |
Enumeration Date | 2021-03-15 |
Last Update Date | 2024-06-05 |