| NPI | 1487102646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0039432) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-12-14 |