| NPI | 1659878387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0053872) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP018513) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-04-29 |