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 |