| NPI | 1356166490 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013017)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE LG-0047013)  | 
| Enumeration Date | 2024-11-21 | 
| Last Update Date | 2025-05-07 |