NPI | 1578307690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R242960) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1057745) |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-07-27 |