NPI | 1508608068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0012479) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047488) |
363L00000X Nurse Practitioner (Licence: DE LG-0012479) | |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012479) | |
Enumeration Date | 2024-06-06 |
Last Update Date | 2024-09-18 |