| NPI | 1104336890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0034243) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2024-07-12 |