| NPI | 1548690696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: DE L1-0023301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012630) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2024-01-18 |