| NPI | 1457242083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0013272) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0013272) |
| 163W00000X Registered Nurse (Licence: DE L1-0050047) | |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-10-10 |