NPI | 1780014993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012473) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R196037) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2023-12-04 |