NPI | 1982613188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001250A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111346) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2021-07-15 |