| NPI | 1902045552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0026787) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000496) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2024-05-16 |