NPI | 1902552508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012295A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017683) |
Enumeration Date | 2022-02-23 |
Last Update Date | 2022-06-24 |