| NPI | 1457383804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R172719) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-02-07 |