| NPI | 1508331778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026234) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP019372) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 9235) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 76625) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 092744-23) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2025-06-09 |