| NPI | 1174968226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012824) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2014-04-01 |