| 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 |