NPI | 1336622463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R189310) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R189310) |
163W00000X Registered Nurse (Licence: DC NP500006321) | |
363LF0000X Nurse Practitioner, Family (Licence: DC NP500006321) | |
Enumeration Date | 2018-09-14 |
Last Update Date | 2023-07-27 |