| NPI | 1811756349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0013158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0054737) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-03-28 |