NPI | 1669877049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R204204) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1021453) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2021-08-10 |