| NPI | 1689422396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045245) |
| 163W00000X Registered Nurse (Licence: MD R239456) | |
| 363L00000X Nurse Practitioner (Licence: MD AC006631) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012723) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006631) | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2026-01-29 |