| NPI | 1831435536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0019000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000169) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000169) | |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2026-04-03 |