NPI | 1225525983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011777) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0074555) |
363L00000X Nurse Practitioner (Licence: DE LG-0011777) | |
363LF0000X Nurse Practitioner, Family (Licence: TX AP137238) | |
Enumeration Date | 2018-04-18 |
Last Update Date | 2024-11-12 |