NPI | 1831134147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN963866) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024126766) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2007-07-08 |