| NPI | 1104960012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000965) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L10028251) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-03-28 |