NPI | 1114805710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013229) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047657) |
363L00000X Nurse Practitioner (Licence: DE LG-0013229) | |
Enumeration Date | 2025-08-22 |
Last Update Date | 2025-10-01 |