NPI | 1992398051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1028339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181281) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC003623) | |
Enumeration Date | 2021-02-18 |
Last Update Date | 2024-09-24 |