| NPI | 1104461763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001348) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE LG-0001348) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-03-06 |