| NPI | 1699065466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011179) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2023-04-12 |