| NPI | 1417812934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0013693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R221942) |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2026-02-16 |