NPI | 1750684890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R206063) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1031006) |
363LF0000X Nurse Practitioner, Family (Licence: MD RN206063) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MD R206063) | |
Enumeration Date | 2010-12-13 |
Last Update Date | 2022-08-19 |