| NPI | 1295338234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045180) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2021-01-21 |