NPI | 1790261204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71008126A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008126A) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2020-12-22 |