NPI | 1588092423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD 191146) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1029386) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2015-11-13 |