NPI | 1104190040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0037838) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ0000271) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2019-10-21 |