NPI | 1073562054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP0058808) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R111689) |
363L00000X Nurse Practitioner (Licence: DC RN58808) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2025-09-03 |