| NPI | 1720441405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047360) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-06-13 |