NPI | 1679906010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004668A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28147776A) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2014-08-19 |