| NPI | 1245776376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0071757) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R137407) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-07-20 |