| NPI | 1679962146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0032586) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2019-10-03 |