NPI | 1922003078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1010272) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R123551) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2008-05-07 |