| NPI | 1255143392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP031933) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-02-04 |