| NPI | 1972816494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0055914) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335981-1) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2020-05-18 |