NPI | 1801597695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1049160) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R239220) |
Enumeration Date | 2023-03-17 |
Last Update Date | 2024-09-05 |