NPI | 1801407028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: DC RN1007255) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R170965) |
Enumeration Date | 2020-08-11 |
Last Update Date | 2020-11-09 |