| NPI | 1518518323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001329) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2022-02-10 |