NPI | 1831682095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28153215A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71007705A) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2020-08-11 |