| NPI | 1245563964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LH-0000191) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE APN-0001550) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-09-08 |