| NPI | 1043615099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC001423) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2021-10-13 |