NPI | 1396294161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011258) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R177131) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2017-03-09 |