| NPI | 1619241072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000979) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2024-03-07 |