| NPI | 1285022988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0042162) |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2022-01-11 |