| NPI | 1013319433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-00001118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014891) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-09-24 |