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 |