| NPI | 1194498014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LP-0010451) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE L1-0048030) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-06-21 |