NPI | 1366197741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1047215) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R244081) |
Enumeration Date | 2022-02-15 |
Last Update Date | 2022-03-29 |