| NPI | 1225436801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R153474) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2019-10-14 |