NPI | 1326644188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015857) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1061183) |
363LF0000X Nurse Practitioner, Family (Licence: MD R229473) | |
Enumeration Date | 2020-12-08 |
Last Update Date | 2022-02-08 |