NPI | 1184098527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1044343) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9366523) |
Enumeration Date | 2015-11-23 |
Last Update Date | 2018-07-13 |