| NPI | 1588053649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE LG-0013280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0036773) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2025-08-12 |