NPI | 1699277012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1061173) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2297456) |
363LF0000X Nurse Practitioner, Family (Licence: MA 2297456) | |
Enumeration Date | 2018-03-01 |
Last Update Date | 2025-03-17 |