NPI | 1811652431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011985A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28215885A) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-12-08 |