NPI | 1568584886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500020645) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN123161) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2025-03-04 |