NPI | 1609458181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1034480) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178879) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024178879) | |
Enumeration Date | 2021-04-24 |
Last Update Date | 2022-05-12 |