| NPI | 1447836135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0011818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R085703) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2023-04-11 |