NPI | 1811256118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 1004025A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004025A) |
Enumeration Date | 2012-05-08 |
Last Update Date | 2018-03-22 |