| NPI | 1730577388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035220) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DE Apn0001844) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2018-03-17 |