NPI | 1366883621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1018191) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R187582) |
207Q00000X Family Medicine (Licence: DC RN1018191) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2024-09-25 |