NPI | 1821340506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004202A) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IN 28154339A) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2019-08-06 |