NPI | 1750631776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217590) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28154982A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71004170A) | |
163W00000X Registered Nurse (Licence: MD R217590) | |
Enumeration Date | 2012-09-17 |
Last Update Date | 2015-08-26 |