| NPI | 1477277127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP026295) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-01-10 |