| NPI | 1386913259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000581) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2025-07-14 |