| NPI | 1043621543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000749) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R188506) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2019-02-18 |