| NPI | 1972621183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00076800) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001473) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-09-18 |