NPI | 1396035549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R224377) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1041966) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2025-04-02 |