| NPI | 1073051819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001107) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R200763) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-03-06 |