NPI | 1073270450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1016497) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183513) |
Enumeration Date | 2021-11-20 |
Last Update Date | 2024-01-31 |