| NPI | 1861742561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0068611) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 6814) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2024-02-03 |