| NPI | 1770950594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047114) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2023-03-17 |