| 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 | 2025-11-07 |