| NPI | 1396055265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000113) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DE DN-0000238) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2022-05-02 |