Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 422725 | MD |
NPI | 1316307713 |
---|---|
Provider Name | Ms. Karen Nelson |
First Address | Washington, DC 20009-1220 |
Second Address | Washington, DC 20009-1220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2016 |
Last Update Date | 26/02/2016 |