| NPI | 1295722155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000136) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC000097) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2011-06-15 |