NPI | 1063652261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000463) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE AN0006420) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2023-03-09 |