| NPI | 1295082063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035105) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2014-10-08 |