NPI | 1972041606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007425A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28200811A) |
363LF0000X Nurse Practitioner, Family (Licence: IN F06171641) | |
Enumeration Date | 2017-02-01 |
Last Update Date | 2023-11-27 |