| NPI | 1710212063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011731) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: DE LG-0011731) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023489) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2024-07-03 |