NPI | 1497225429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177091) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1038651) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2023-12-06 |