| NPI | 1316403991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704256046) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-05-13 |