| NPI | 1578296984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0012090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0044515) |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC004595) | |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2023-01-24 |