| 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 |