| NPI | 1396508990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC006237) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0012606) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |