| NPI | 1548651250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045053) |
| 363L00000X Nurse Practitioner (Licence: MD AC003879) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011709) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-02-25 |