NPI | 1780739250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170250) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0024170250) |
363LF0000X Nurse Practitioner, Family (Licence: DC RN55757) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-08-08 |