| NPI | 1821530825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047640) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016601) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2019-10-29 |