| NPI | 1225641129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0072231) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F346286-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R248932) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-08-10 |