NPI | 1205125002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169275) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022909) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2023-02-16 |