| NPI | 1275531873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000160) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC000109) |
| 363L00000X Nurse Practitioner (Licence: DE LB-0000160) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-09-05 |