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 |