NPI | 1811632045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013117A) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28230067A) |
363LF0000X Nurse Practitioner, Family (Licence: IN F09210643) | |
Enumeration Date | 2022-05-02 |
Last Update Date | 2022-11-18 |