| NPI | 1043387756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0014282) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-08-23 |