| NPI | 1033892427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD RN747622) |
| 163W00000X Registered Nurse (Licence: DE L1-0041231) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0012446) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006179) | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-08-27 |