| NPI | 1801948419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009250) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-03-25 |