NPI | 1962880146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011148) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172486) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2023-09-29 |