NPI | 1477994887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1002263) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 2013011989) |
Enumeration Date | 2013-07-13 |
Last Update Date | 2019-10-23 |