| NPI | 1174301097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0013054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0052596) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0013054) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-12-06 |