| NPI | 1023079084 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000944) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019500) | 
| Enumeration Date | 2006-03-30 | 
| Last Update Date | 2022-07-21 |