| NPI | 1225525983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R270021) |
| 163W00000X Registered Nurse (Licence: DE L1-0074555) | |
| 363L00000X Nurse Practitioner (Licence: MD R270021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R270021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137238) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011777) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2025-04-22 |