| NPI | 1245880947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0043825) |
| 163W00000X Registered Nurse (Licence: PA RN649747) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP019855) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |