| NPI | 1538500939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP012964) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: DE LG-0000714) |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000714) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP012964) | |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2015-04-27 |