NPI | 1720719065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012779A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F07211173) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2024-10-08 |