| NPI | 1821947540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0013718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013718) |
| 163W00000X Registered Nurse (Licence: DE R0134940) | |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-04-13 |