NPI | 1659796605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R210048) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN68001) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2023-10-29 |