NPI | 1174951081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000696) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001258) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2024-08-04 |