| NPI | 1215346150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000112) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE AN0010366) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-12-31 |