| 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 |