| NPI | 1982588596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0013324) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0013324) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-10-06 |