NPI | 1417001389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN52025) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R151094) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2021-05-28 |