NPI | 1447511167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1032808) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R202495) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2023-08-07 |