| NPI | 1619307766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006532) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L1-0026433) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0000638) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000638) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2024-05-01 |