NPI | 1174396121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1044841) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R218861) |
Enumeration Date | 2023-11-01 |
Last Update Date | 2025-02-24 |