| NPI | 1013190974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG0000433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP009801) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2011-02-22 |