| NPI | 1790035459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000271) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB0000271) |
| 163W00000X Registered Nurse (Licence: DE L1-0033254) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2021-03-26 |