NPI | 1992008742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003477A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003477A) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2017-10-30 |