| 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 |