| NPI | 1235307463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10015578) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2011-09-27 |