NPI | 1770535502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000959A) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IN 71000959A) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-05-02 |