NPI | 1992132310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 002417114) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025453) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2015-05-13 |