| NPI | 1578297982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012030) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-05-23 |