| NPI | 1730287541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035900) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000434) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-07-25 |