NPI | 1801585674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002529) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346458) |
363LF0000X Nurse Practitioner, Family (Licence: DC NP1043335) | |
Enumeration Date | 2023-05-05 |
Last Update Date | 2023-07-19 |