NPI | 1679703227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014816A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17570) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71014816A) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024188690) | |
Enumeration Date | 2009-07-16 |
Last Update Date | 2024-01-02 |