| NPI | 1528047545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000133)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10016283)  | 
| Enumeration Date | 2006-01-10 | 
| Last Update Date | 2007-07-08 |