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 |