NPI | 1609421338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500003869) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000127) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2025-02-09 |