| NPI | 1578282042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0012111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10045857) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-10-02 |