| NPI | 1396904587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 59324) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110961) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10010398) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2024-04-29 |