| NPI | 1023539509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717179-1) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-08-18 |