NPI | 1174951081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE 2022709121) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000696) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC001258) | |
Enumeration Date | 2013-10-31 |
Last Update Date | 2025-10-07 |