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 |