| NPI | 1891794533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007287) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2010-03-26 |