| NPI | 1568723419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE L10025556) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-12-16 |