| NPI | 1306144647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0018250) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.12227-NP) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2024-03-08 |