NPI | 1740229640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN66806) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001084328) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024165921) | |
363LF0000X Nurse Practitioner, Family (Licence: DC RN66806) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2007-07-08 |