| NPI | 1497854731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-00001265) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LG-00001265) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-00001265) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-08-09 |