| NPI | 1093265902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DE LP-0000178) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP016557) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-02-10 |