NPI | 1972910602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005675A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2013011851) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2020-07-16 |