NPI | 1508252701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000844) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000844) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2019-08-20 |