| NPI | 1043205628 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0001083)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 06263)  | 
| Enumeration Date | 2005-09-20 | 
| Last Update Date | 2025-05-02 |