NPI | 1194027243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1063076) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336292) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2022-04-18 |