| NPI | 1104348796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0026633) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-10-10 |