| NPI | 1982359618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011903) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: DE L1-0054156) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011903) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2025-05-08 |