NPI | 1184218331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1060583) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R182445) |
Enumeration Date | 2021-02-26 |
Last Update Date | 2023-09-20 |