NPI | 1184939050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1031489) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4424) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2024-10-23 |