| NPI | 1568415909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LZ0000110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000540) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-10-12 |