| NPI | 1215362421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0023344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000704) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2016-01-21 |