NPI | 1912344359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001114) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019839) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2022-03-23 |