NPI | 1841690948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC R1034176) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R178441) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2018-03-17 |