NPI | 1821525262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1055037) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006247) |
363LF0000X Nurse Practitioner, Family (Licence: MD R269682) | |
Enumeration Date | 2017-05-16 |
Last Update Date | 2025-03-24 |