| NPI | 1255004107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE APP-000023061) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-01-25 |