NPI | 1497799365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200003452) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334164) |
363LF0000X Nurse Practitioner, Family (Licence: MD R216543) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-01-18 |