| NPI | 1194209692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0038092) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2019-04-30 |