NPI | 1548963861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012296) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012296) |
Enumeration Date | 2023-03-24 |
Last Update Date | 2024-03-27 |