| NPI | 1972211381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012141) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R227434) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |