| NPI | 1558535682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000580) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000580) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000580) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2025-01-16 |