NPI | 1821471673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006131) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176693) |
363L00000X Nurse Practitioner (Licence: DC RN1047903) | |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704155645) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2023-12-28 |