| NPI | 1134263882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000428) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L10015098) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-05-01 |