NPI | 1053081778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011767) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0040704) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-10-06 |