| NPI | 1164183828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0013269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R273073) |
| 363L00000X Nurse Practitioner (Licence: MD R273073) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013269) | |
| 163W00000X Registered Nurse (Licence: DE L1-0067075) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP025178) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-11-10 |