| 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 |