| 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 |