| NPI | 1851445159 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LB-0000155) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000155) | 
| Enumeration Date | 2007-01-23 | 
| Last Update Date | 2023-03-07 |