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 |