| NPI | 1710209382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000327) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2022-07-15 |