NPI | 1548597131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1058723) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R185483) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2024-08-13 |