NPI | 1205354743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN964827) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R152282) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2018-06-20 |