| NPI | 1518248699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1088723) |
| 363L00000X Nurse Practitioner (Licence: KY 3007042) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0012882) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2024-09-13 |