| NPI | 1619403714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0043470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001201) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2020-01-30 |