| NPI | 1184160376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0049739) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012063) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-11-22 |