| NPI | 1225332034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011130) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-01-08 |