| NPI | 1669874632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC-CRNP-Family) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2021-05-18 |