NPI | 1922647205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009648A) |
Enumeration Date | 2020-01-03 |
Last Update Date | 2020-05-06 |