| NPI | 1629680020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011780) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-01-03 |