| NPI | 1194919506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002617) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2019-03-28 |