| NPI | 1952694416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012268) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN188328) |
| 363L00000X Nurse Practitioner (Licence: GA RN188328) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2025-12-02 |