NPI | 1578812772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022021) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R182696) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2023-04-27 |