| NPI | 1366832172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE APN-0001828) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE APN-0001828) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE APN-0001828) | |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2025-06-18 |