NPI | 1235103292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000350) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000326) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2016-04-08 |