| NPI | 1043302912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10011555) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-05-16 |