| NPI | 1740752971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002543) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001181) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2025-12-30 |