NPI | 1356722763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000840) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R216178) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2015-06-11 |