NPI | 1508232471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015175) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019946) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2022-07-21 |