| NPI | 1386118164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE LG-0001193) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-08-28 |