| NPI | 1689440976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028210) |
| 163W00000X Registered Nurse (Licence: DE L1-0066773) | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-03-05 |