NPI | 1205197571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R238005) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R238005) |
163W00000X Registered Nurse (Licence: DC RN200004115) | |
163W00000X Registered Nurse (Licence: NY 655245) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2024-08-26 |