| NPI | 1831481761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0040096) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-05-04 |