NPI | 1821390477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000532) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011051) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC000843) | |
Enumeration Date | 2010-12-01 |
Last Update Date | 2023-09-26 |