| NPI | 1750804118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134616) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-01-30 |