NPI | 1174032775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001065) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0001065) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2022-05-03 |