| NPI | 1588714570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC002225) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE00718) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0001062) | |
| 163W00000X Registered Nurse (Licence: PA RN628620) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-05-05 |