NPI | 1952963910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003282) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025113) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024178268) | |
Enumeration Date | 2019-06-30 |
Last Update Date | 2020-11-18 |