| NPI | 1659889442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LG-0001149) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001149) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002188) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2025-07-05 |