NPI | 1467818807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1052767) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC NP1052767) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MD R237771) | |
163W00000X Registered Nurse (Licence: DC 1052767) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1052767) | |
Enumeration Date | 2016-01-14 |
Last Update Date | 2024-01-18 |