NPI | 1043608441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000827) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10032431) |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000827) | |
Enumeration Date | 2015-01-07 |
Last Update Date | 2018-10-25 |