NPI | 1811566169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011437A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN F06211568) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2021-12-28 |