| NPI | 1932864501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0048857) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0011779) | |
| 163W00000X Registered Nurse (Licence: MD R269143) | |
| 363L00000X Nurse Practitioner (Licence: MD AC007082) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC007082) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2025-01-13 |