NPI | 1942589973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R182917) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1008751) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2018-07-02 |