NPI | 1811392483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005204A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005204B) |
Enumeration Date | 2014-10-25 |
Last Update Date | 2014-10-25 |