| NPI | 1942588967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG 0000454) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE LG-0000454) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: DE LG-0000454) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2024-08-05 |