NPI | 1699364638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1061161) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180674) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024180674) | |
207Q00000X Family Medicine (Licence: TX 1177217) | |
Enumeration Date | 2021-01-14 |
Last Update Date | 2024-10-22 |