| NPI | 1760264451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0046566) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0012477) | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2024-09-18 |