| NPI | 1871776393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LB-0000215) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC-000070) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2011-05-24 |