| NPI | 1255046546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010674) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP026462) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP026462) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP026462) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2024-04-10 |