NPI | 1568089365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R233261) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1013739) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2023-08-03 |