NPI | 1407414410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1020371) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R238180) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2023-06-14 |