| NPI | 1245018878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0056286) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-10-31 |