| NPI | 1841970019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R229742) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2025-07-10 |