| 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 |