| NPI | 1104504547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0055996) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-09-28 |