NPI | 1215991872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165967) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN49992) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2007-07-08 |