| NPI | 1770192320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0011649) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 906963) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-01-20 |