| NPI | 1588987523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN601942) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP024290) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2023-04-11 |