NPI | 1780165597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28256960A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 24467) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2021-02-08 |