NPI | 1720895584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0013018) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0013018) |
Enumeration Date | 2024-12-16 |
Last Update Date | 2025-06-10 |