| NPI | 1659954212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012803) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4022776) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL F04210042) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2024-06-12 |