NPI | 1245308675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN62819) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024142059) |
363L00000X Nurse Practitioner (Licence: VA 0001142059) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2021-06-02 |