NPI | 1316721228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0012478) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: PA 2022152035) |
163W00000X Registered Nurse (Licence: DE L1-0072521) | |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-10-20 |