NPI | 1922713650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014209A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229989A) |
Enumeration Date | 2023-01-17 |
Last Update Date | 2023-08-23 |