NPI | 1609202126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000684) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013186) |
Enumeration Date | 2013-09-16 |
Last Update Date | 2019-08-29 |