NPI | 1417382540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN251203) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1059676) |
363LF0000X Nurse Practitioner, Family (Licence: CT 9398) | |
363LF0000X Nurse Practitioner, Family (Licence: NY 338293) | |
Enumeration Date | 2013-09-09 |
Last Update Date | 2024-02-15 |