NPI | 1407379456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0012670) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0050651) |
Enumeration Date | 2017-07-21 |
Last Update Date | 2024-03-05 |