NPI | 1790227676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000973) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000973) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2018-01-30 |