| NPI | 1053081778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011767) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC006829) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006829) | |
| 163W00000X Registered Nurse (Licence: DE L1-0040704) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0011767) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-09-26 |