| NPI | 1790193308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0032179) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0000768) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |