| NPI | 1487130233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0012759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R266599) |
| 163W00000X Registered Nurse (Licence: DE L1-0048433) | |
| 163W00000X Registered Nurse (Licence: MD R266599) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP018494) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-07-17 |