NPI | 1407092901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN59279) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R117864) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024166545) | |
Enumeration Date | 2009-01-05 |
Last Update Date | 2013-02-18 |