| NPI | 1780704460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0028541) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-09-10 |