| NPI | 1073703013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN555660) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-11-10 |