NPI | 1346774650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1043109) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R233611) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2019-12-06 |