| NPI | 1326109620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166503) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-12-06 |