| NPI | 1043905011 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012426) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025830) | 
| 163W00000X Registered Nurse (Licence: FL RN9476999) | |
| Enumeration Date | 2023-04-06 | 
| Last Update Date | 2023-09-05 |