| NPI | 1538674767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0001121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE L1-0035786) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-02-28 |