NPI | 1124313887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000556) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000556) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2016-11-08 |