| NPI | 1316369721 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000685) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001254) | 
| Enumeration Date | 2014-01-21 | 
| Last Update Date | 2023-11-08 |