NPI | 1689419905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R197834) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024190999) |
363LF0000X Nurse Practitioner, Family (Licence: DC NP1026367) | |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-10-23 |