| NPI | 1265917843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0049601) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP021385) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2026-03-26 |