NPI | 1922098821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019529) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-112272) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2012-11-20 |