| NPI | 1477935625 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE L1-0040949) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000883) | 
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015691) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001796) | |
| Enumeration Date | 2015-06-24 | 
| Last Update Date | 2016-11-02 |