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 |