NPI | 1407552151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012139) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0012139) |
Enumeration Date | 2023-02-03 |
Last Update Date | 2025-10-07 |