| NPI | 1851955678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0011741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0053747) |
| 163W00000X Registered Nurse (Licence: VT 026.0112553) | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2022-01-13 |