| NPI | 1093924425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332500) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-03-04 |