NPI | 1699439091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1034565) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R198067) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2023-03-28 |