| NPI | 1033100748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000289) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010571) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0000289) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-11-05 |