NPI | 1053896258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1023568) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1023568) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2023-03-22 |