| NPI | 1497414072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE F01211024) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2026-05-20 |