| NPI | 1720084213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011542) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 201806701NP-PP) |
| 207Q00000X Family Medicine (Licence: SC APRN2467) | |
| 363L00000X Nurse Practitioner (Licence: DE L1-0067018) | |
| 163W00000X Registered Nurse (Licence: DE L1-0067018) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60763596) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2333723) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2024-08-23 |