| NPI | 1750748679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011762) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DE L1-0039356) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0011762) | |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2024-07-24 |