| NPI | 1114564911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE lp0010638) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021612) |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2025-02-11 |