| 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 |