NPI | 1629527866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1029454) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R199184) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2018-02-23 |