| NPI | 1760623409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10029938) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000494) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DE APN0001524) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2024-11-01 |