| NPI | 1053064311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE LG0011671) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-11-15 |