| 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 |