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 |