| NPI | 1376991638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG0000939) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2023-06-03 |