| NPI | 1043231376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010208) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LH0000161) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-09-19 |