| NPI | 1568128890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SPO24714) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004580) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2022-11-28 |