NPI | 1720218696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003116A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2009010028) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2023-09-06 |