| NPI | 1093041261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE AG03250008) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN279988) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2025-03-09 |