| NPI | 1255745766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000734) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: DE LG-0000734) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2016-02-24 |