| NPI | 1295139624 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012127)  | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L1-0032609)  | 
| Enumeration Date | 2014-10-14 | 
| Last Update Date | 2022-11-14 |