| NPI | 1184134801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035695) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2023-12-12 |