| NPI | 1821639402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001355) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001355) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE L1-0041378) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-08-23 |