NPI | 1588360812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1040909) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R168245) |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-08-07 |