NPI | 1215507801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1043981) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R233725) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2023-07-11 |