NPI | 1952812257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3238) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap10686) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2024-06-27 |